HomeMy WebLinkAboutPermit Building 2000-3-3
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Job# 00-00265-011
Page 1 of2
TRANS#:01-0000825
DATE:MAR 03 2000
AMT RECD:2 $ 295.35
CHANGE:
CASHIER:059
>~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00265-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 444 Mansfield St Spr
Assessors Map#: 17032334
Lot: Block: Addition:
Tax Lot #: 05800
Subdivision:
Owner:
Address:
Ken Cerotsky
PO BOX 1391
Phone Number:
City/StatelZip: Springfield, OR 97471
New Value: $60.000
Scope Of Work: Single Family Residence
INTERIOR REMODEL
Contractor Type
General Contr
Plumbing Contr
Contractor
Barry Wolfe
1330 Brickley Rd, Eugene, OR 97401
Arps Plumbing Co Inc
1120 Bailey Hill Rd Ste 8, Eugene, OR
97402-3070
Registration # Expiration Date
Phone
38123 1/24/2000
541-484-7246
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Commentsinterior remodel only
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Planner: AI Ward
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Loco.:
Material:
Flood Plain FEMA: n/a
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I Job# 00-00265-011
Page 2 of2
Construction Types:
. ...0ccupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt# Value/Quantity
I Plan Check I
02/14/2000 586 60,000
03/03/2000 825 -163
Fee Amount
Residential Plan Check
Additional Plan Check
Total Plan Check
$203.45
$.163.45
$40.00
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
03/03/2000 825
03/03/2000 825
03/03/2000 825
60,000
$313.00
$21.91
$9.39
$344.30
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Plumbing
03/03/2000 825
03/03/2000 825
03/03/2000 825
03/03/2000 825
8
$.00
$80.00
$5.60
$2.40
$88.00
Minimum Mechanical Permit
Mechanical Administrative Fee
ApplianceVent (Not Covered in Schedul
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
03/03/2000 825
03/03/2000 825
03/03/2000 825
03/03/2000 825
03/03/2000 825
3
$1.50
$.45
$13.50
$10.00
$1.05
$26.50
$498.80
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Structural-Res
By signature, I state and agree. that I have carefully examined the completed application and do
hereby certify that all information hereon is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors an mployees who are in compliance with ORS 701.055 will be used on
this project
I further agree to ensure at all re I ctions are requested at the proper time, that each
addre!ilSsitadable fro the street that the p mit card is located at the front of the property, and the)
appro d2.t Of~ w.1 re ain e at II times during construction. :s (' / u 6
Signat re 9 Date - I
Checked By
Bob Barnhart
Steve Templin
Date Completed
02/15/2000
02/18/2000